Personal History Form

Title of the post you apply:

INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. If you need additional pa"es of the sa e si#e. Please attach recent passport$si#e photo"raph. %. &a ily na e 'Surna e( &irst na es ,aiden na e! if applica-le Re)enco *le+ei .aleriu /. 0ate of 1irth day onth /2 23 3. :ei"ht %53 year %455 6. Place of -irth Soroca 5. ;ei"ht 37 7. Nationality at -irth ,0* 8. Present nationality'ies( ,0* ore space! attach

9. Se+ ,ale &e ale

%2. <ntry into United Nations ser)ice any disa-ilities which

4. ,arital status: Sin"le ,arried Separated ;idow'er( 0i)orced i"ht require assi"n ent and tra)el to any area of the world in which the United Nations i"ht ha)e responsi-ilities. :a)e you NO If ?yes? please descri-e: %6. Office Telephone no.

i"ht li it your prospecti)e field of work or your a-ility to en"a"e in air tra)el= ><S %/. Present address if different fro

%%. Per anent address 1d. ,osco)ei %8@/ ap76

that indicated in -o+ %%.

Telephone No. 2949%7695

Telephone No. No if the answer is A>esB! "i)e the followin" infor ation:

Telephone No. ' essa"es(

%7. :a)e you any dependents= >es

Na e

0ate of -irth

Relationship

Na e

0ate of -irth

Relationship

%8. :a)e you taken up le"al per anent residence status in any country other than that of your nationality= >es No if A>esB! which country=

%9. :a)e you taken any steps towards chan"in" your present nationality= >es No C if A>esB! e+plain fully:

%3. *re any of your relati)es e ployed -y a pu-lic international or"ani#ation= >es Na e Relationship

No

if answer is ?yesB! "i)e the followin" infor ation: Na e of International Or"ani#ation

%5. ;hat is your preferred field of work=1usiness and *d inistration %4. ;ould you accept e ploy ent for less than si+ /%. Dan"ua"es $ Dist other ton"ue first .ery "ood onths= >es *-ility to read Eood No ;eak

/2. :a)e you pre)iously su- itted an application for e ploy ent with U.N.= If so when= No *-ility to write *-ility to speak .ery "ood Eood ;eak .ery "ood Eood ;eak

Ro anian <n"lish Russian Eer an

//. Clerical skills 'for clerical e ploy ent only(. Indicate speed in words per minute Typin" Shorthand <n"lish &rench Spanish Other lan"ua"es Dist any office achines or equip ent you can use -elow: PC! Printer! Scaner! ProFector! Cero+

/6. EDUCATION: Ei)e full details $ N1 Please "i)e e+act titles of de"rees in ori"inal lan"ua"e *. Uni)ersity or equi)alent ' ost recent first( of the educational institutions you ha)e attended and other speciali#ed courses. Ei)e the e+act na e of institution and title of de"rees! diplo as! etc. 'Please do not translate or equate to other de"rees.(
Na e! place and country *cade y of <cono ic Studies of ,oldo)a! Chisinau! ,oldo)a *cade y of <cono ic Studies of ,oldo)a! Chisinau! ,oldo)a State Uni)sersity of ,oldo)a! Chisinau! ,oldo)a Peda"o"ical Colle"e *le+ei ,atee)ici Chisinau! ,oldo)a *ttended &ro @To ,o@>ear ,o. @>ear 24@/2%2 28@/2%/ 24@/223 24@/225 24@/227 28@/2%2 28@/2%6 29@/225 Certificates! diplo as or de"rees and acade ic distinctions o-tained ,aster Dicenta Dicenta Dicenta ,ain course of study ,ana"e ent ,ana"e ent Daw Peda"o"y and psycholo"y

1. Schools or other for al trainin" or education fro Na e! place and country International Students Week in Timisoara, Romania 1alkan Case Challen"e! Chisinau! ,oldo)a Su er Ca p AIdeal Uni)ersityB 1alti! ,oldo)a

a"e %7 'e.". hi"h school! technical school or apprenticeship( Type *ttended &ro @To ,o@>ear ,o. @>ear 23@/2%2 23@/2%2 27@/2%2 25@/225 27@/2%2 25@/225 C<RTI&IC*T<S OR 0IPDO,*S O1T*IN<0 Certificate Certificate Certificate

International festi)al International case study co petition Trainin"

2 ! "ist mem#ership of professional societies an$ acti%ities in ci%ic& pu#lic or international affairs

2'! "ist any si(nificant pu#lications you ha%e )ritten *$o not attach them+!

2,! E-P"O.-ENT /ECO/D: Startin" with your present post! list in re)erse order e)ery e
ploy ent you ha)e had. Use a separate -lock for each e ploy ent. Include also ser)ice in the ar ed forces and note any period durin" which you were not "ainfully e ployed. If you need ore space! attach additional pa"es of the sa e si#e. Ei)e -oth "ross and net salaries per annu for your last or present post.

A! P/E0ENT PO0T *"A0T PO0T& IF NOT P/E0ENT". IN E-P"O.-ENT+

&RO, TO ,onth@>ear ,onth@>ear 26./2%2 28@/2%2 N*,< O& <,PDO><R: *le+ee) *le+andru S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross( /2222 72222 <C*CT TITD< O& >OUR POST: Repre#entant T>P< O& 1USIN<SS: Touris

*00R<SS O& <,PDO><R Str. Un"ureanu ! Crico)a! ,oldo)a

N*,< O& SUP<R.ISOR: *lee+e) *le++andru NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE: &inishin" contract

0e)elop posters! clients search.

1! P/E2IOU0 PO0T0 *IN /E2E/0E O/DE/ 3 I!E! -O0T /ECENT PO0T0 FI/0T+
&RO, TO ,onth@>ear ,onth@>ear 28@/224 24@/224 N*,< O& <,PDO><R Duck Peroni S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross( 32222 %22222 <C*CT TITD< O& >OUR POST:

:otel attendant
T>P< O& 1USIN<SS: :otel and Touris

*00R<SS O& <,PDO><R 6%33/ :er an Deirer Road! Seward! *k 44997

N*,< O& SUP<R.ISOR: Gi :el s NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE: &inishin" contract

Responsi-le for so e acti)ities fro

the hotel

&RO, TO ,onth@>ear ,onth@>ear 28@/224 24@/224 N*,< O& <,PDO><R 0al-ert

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross( 82222 52222

<C*CT TITD< O& >OUR POST:

Sushi$Chef
T>P< O& 1USIN<SS: Store

*00R<SS O& <,PDO><R %423 Seward :i"hway Seward! *G 44997

N*,< O& SUP<R.ISOR: 0al-ert NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE: &inishin" contract

Preparin" sushi

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST: T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST:

T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST:

T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST: T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST:

T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST:

T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

&RO, TO ,onth@>ear ,onth@>ear N*,< O& <,PDO><R

S*D*RI<S P<R *NNU, Startin" '"ross( &inal '"ross(

<C*CT TITD< O& >OUR POST: T>P< O& 1USIN<SS:

*00R<SS O& <,PDO><R

N*,< O& SUP<R.ISOR: NO. *N0 GIN0 O& <,PDO><<S SUP<R.IS<0 1> >OU: 0<SCRIPTION O& >OUR 0UTI<S R<*SON &OR D<*.INE:

/3. :a)e you any o-Fections to our

akin" inquiries of: 'a( your present e ployer= >es

No

H '-( pre)ious e ployers=

>es

No No

/5. *R< >OU NO;! OR :*.< >OU <.<R 1<<N! * P<R,*N<NT CI.ID S<R.*NT IN >OUR EO.<RN,<NTIS <,PDO>= >es If answer is ?yes?! ;:<N= /4. References: list three persons not related to you who are fa iliar with your character and qualifications and who 0O NOT R<P<*T N*,<S O& SUP<R.ISORS DIST<0 UN0<R IT<, /9. &UDD N*,< &UDD *00R<SS ay -e contacted for a reference

1USIN<SS OR OCCUP*TION

<lasco I)an ,elinte Dilia ,oraru Dud ila 1d. ,osco)ei %8@/ ap. 72 Str .asilenco /9@3

,ana"er :R ,ana"er 0eputy 0irector

62. ST*T< *N> OT:<R R<D<.*NT &*CTS IN SUPPORT O& >OUR *PPDIC*TION. INCDU0< IN&OR,*TION R<E*R0INE *N> R<SI0<NC< OUTSI0< T:< COUNTR> O& >OUR N*TION*DIT> I would like to take part for Docal Inte"ration ProFect of Refu"ees in ,oldo)a -ecause this is an e+cellent opportunity to i pro)e y skills and to "ain a lot of e+periences. I consider yself to -e a "ood candidate for this ProFect -ecause I a youn"! ener"etic! hardworkin"! I a a-le to work alone or as a part of a tea ! and I like workin" with people. I a a fle+i-le! open inded and oti)ated person and I -elie)e that I can achie)e the "oals I ha)e.

6%. :*.< >OU <.<R 1<<N *RR<ST<0! IN0ICT<0! OR SU,,ON<0 INTO COURT *S * 0<&<N0*NT IN * CRI,IN*D PROC<<0INE! OR CON.ICT<0! &IN<0! OR I,PRISON<0 &OR T:< .IOD*TION O& *N> D*; '<CCDU0INE ,INOR TR*&&IC .IOD*TIONS(= >es No

6/. I certify that the state ents ade -y e in answer to the fore"oin" questions are true! co plete and correct to the -est of y knowled"e and -elief . I understand that any isrepresentation or aterial o ission ade on a UN0P Personal :istory for or other docu ent requested -y the Or"ani#ation renders a staff e -er of the United Nations 0e)elop ent Pro"ra e lia-le to ter ination or dis issal.

0*T<:

SIEN*TUR<: JJJJJJRe)enco *le+eiJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

Note: >ou ay -e requested to pro)ide docu entary e)idence of the state ents you ha)e ade a-o)e. 0o not! howe)er! send any docu entary e)idence until you ha)e -een asked to do so and! in any e)ent! do not su- it the ori"inals of any references! testi onials or certificates of acade ic achie)e ent unless they ha)e -een o-tained for the sole use of UN0P.